Application Form

Once you have completed and submitted the membership form to the ISPA Secretariat, the application will be subjected to a cursory inspection to ensure that the basic requirements are met.

Thereafter you will be billed an application fee equivalent to a three-month membership fee. Once the payment has been received you will be placed in a provisional category and requested to do the following:

Step 1 of 5

20%

Full or Formal Name of Organisation*

Public Display Name of Organisation*

Blurb / About Organisation

Company Registration Number*

Public Web Address*

Public Email Address*

Enter EmailConfirm Email

Public Telephone Number*

Public Fax Number*

Postal Address*

Please use a maximum of 5 lines.

Street Address*

We hereby apply to join the Internet Service Providers Association as a*

Primary Contact

Title, Name and Surname*

Email Address*

Enter EmailConfirm Email

Direct Telephone

Mobile

Regulatory Contact

Title, Name and Surname*

Email Address*

Enter EmailConfirm Email

Direct Telephone

Mobile

Technical Contact

Title, Name and Surname*

Email Address*

Enter EmailConfirm Email

Direct Telephone

Mobile

Billing Contact

Title, Name and Surname*

Email Address*

Enter EmailConfirm Email

Direct Telephone

Mobile

Help Desk Contact

Title, Name and Surname*

Email Address*

Enter EmailConfirm Email

Direct Telephone

Mobile

Security Information

This is the email address / number who should be contacted in the event ISPA becomes aware of a compromise your network.

Security Role Email Address*

Enter EmailConfirm Email

Security Role Telephone

Security Role Operational Hours

Preferred Contact Method

Email

Telephone

Services Offered

The types of services offered by ISPA's members have been grouped into major categories below. Please indicate all of the services which your company offers in each category by selecting the relevant checkbox.

Each section has space for you to fill in other services you provide which fall in that category, but which aren't already listed. Please include any additional services you'd like us to include here.

The appropriate services will be listed next to your company's name on the ISPA website.

Internet Access Services

Leased Line Access (dedicated 64k+)

DSL Access

Wireless Access

Mobile Access

Dial-up or ISDN access

Other Internet Access Services

Hosting Services

Web Site Hosting (site hosted on ISP server)

Server hosting (Hosting of clients' server on ISP's network)

Managed server hosting (client has access to an ISP managed server)

Other Hosting Services

Miscellaneous Services

VoIP services

Domain name services

Virtual private network (VPN) services

Virtual ISP services

Network management

Content design and development

Other Miscellaneous Services

Hardware Provision

Routers (rental)

Routers (sale)

Servers (rental)

Servers (sale)

Wireless Equipment

PCs and other consumer electronics

Other Hardware Provision

Security Services

Software Firewalls (installation, configuration, maintenance)

Hardware Firewalls (installation, configuration, maintenance)

Security Audits

Other Security Services

Training

Internet literacy

Network maintenance and operation

Advanced Networking

Other training

Domain Name Registrations

A page on ISPA's website will list all ISPA members who always register domains in their clients' names, and not in their own name.

Both ISPA and UniForum SA are able to use this page as a reference when queries are submitted by consumers for information on ISPs whose policy it is to register domains in their clients' names. We believe that this will alleviate some of the Code of Conduct complaints that ISPA receives.

Domain Name Registrations

We always register our customers' domains in the name of that customer (field 2a on the co.za registration form), and we would like to be listed accordingly on the ISPA web site.

We do not always register domains in the name of the clients, or we do not register domain names on behalf of clients at all, and therefore do not qualify to be listed.

When would you like your membership to start?*

As soon as the membership is approved.

At a future date.

If you want your membership to start at a future date, please enter the date here*

Settlement Options*

When, and how regularly would you like to be billed?

VAT Vendor?*

Yes

No

VAT Number

Where did you hear about ISPA?

What are your primary reasons for wanting to join the association?

If you have any IECNS/IECS licenses, please enter the details here (one license number per line)

If there are any other comments you would like listed about your company, or your company's products and services, please include them below

Agreements

I understand that on submission of this form I will be billed an application fee equivalent to a three-month membership fee.

I have read and understand the membership application guidelines.

I have read the ISPA's Code of Conduct and I accept that as a member of ISPA, my organisation will be bound by this Code.